Doctor insights on:
Genetic or not: Brittle bone disease is an inherited disorder of bone that is called osteogenesis imperfecta. Osteopenia and osteoporosis are disease of the bone where there is decrease density of the bone. This is associated with age, hormonal change, medications, smoking and other issues. Basically the bone cells are out of balance and take away more bone than they replace. ...Read moreSee 1 more doctor answer
Are strontium ranelate and strontium citrate recognised, beneficial treatments for severe osteoporosis?
Not approved: These two therapies are under investigation, but have not yet been approved in the us. ...Read more
Bone density testing: The best test is a bone density test (known as a dxa scan). This painless test measures the density of your bones. Your doctor uses this test to predict the risk of bone fracture in the future. Sometimes a spine or hip xray can show fractures of your spine/vertebra which can indicate undiagnosed osteoporosis but usually the first test is the dxa scan. ...Read moreSee 2 more doctor answers
Positive, intense uptake on bone scan, lose spinal hardware, bone marrow edema , family history, paternal taking Forteo to strengthen bones. ??ideas?
For one: You probably should remove the hardware. Increased uptake is informing you there is bone activity. You don't state on what phase. This could indicate a fracture or infection.... The doctor should have a clinical suspicion of what he is looking for. If removing the hardware a bone biopsy can be performed if suspecting infection. ...Read more
That's the claim: Although i don't have a lot of clinical experience with empower+, I do have some. A few clients attempted to use this product and discontinued their mood stabilizing med. The result was not favorable with two requiring psych hospitalization. None of my clients remained on it. The longest someone stayed with it was 3 months. ...Read moreSee 1 more doctor answer
Dr happy with alendronate 70mg & ca -d supplement for severe osteopenia (t-2.3) in spine. Would strontium citrate supplement be helpful too?
Strontium: To my knowledge strontium (ranelate not citrate) is not an approved osteoporosis drug in the usa. Alendronate is a good and safe drug. What matters is how you take it - with water not food - and how long you have been taking it. Standard procedure is to check your t-score every 2 years and many of us recommend stopping therapy if consecutive results show no change. ...Read more
Mri & bone scan impression is suspecious metastatis, bmd show osteopenia spiral, m.Band negative, s.Cortisol 30 with dexona 1 mg, biopsy needed ?
Perhaps: Discuss your situation with your primary doctor or the one who ordered those tests. If you are feeling uncomfortable, it may be good to get a second opinion from an oncologist (a cancer specialist). Do not wait. Time can make a difference in how you do. ...Read moreSee 1 more doctor answer
Osteomalacia: No. A Dexa detects osteoporosis, or decreased amount of bone matrix. Osteomalacia is an abnormal type of bone, soft bones, abnormal building process. You can have both osteoporosis/malacia, so dexa is still done in the workup to measure the amount of bone. Vit D deficiency, GI disorders that cause malabsorption, kidney disease, liver disease, certain drugs... all are part of the differential. ...Read moreSee 1 more doctor answer
No: There is no evidence that any vitamin supplement helps alleviate symptoms associated with any psychiatric illness. Vitamin k specifically has no known effects on the brain or on psychiatric illness. It is primarily associated with bone growth and clotting. There is some research associating omega 3 fatty acids (especially high dha) with better mental health but even these are preliminary. ...Read more
Only partly: The dexa scan gives the bone mineral density at the hips, spine and forearm. These scores can predict osteoporosis: 't-score' of less than -2.5 is considered osteoporosis. However, many people suffer osteoporosis fractures despite having better bone densities. So, we also use other factors: age, ethnicity, size, family history, prior fractures, smoking, alcohol, other conditions to predict risks. ...Read moreSee 1 more doctor answer
Unconfirmed: Human diseases possibly related to deficient lithium intake have not been well studied. Still, lithium is probably an essential nutrient present in foods and water supply. http://www.ncbi.nlm.nih.gov/pubmed/11838882 there is no direct relationship between "low" lithium and mania -- yet it's true that lithium is an established mood stabilizer in bipolar disorder & has antidepressant action too. ...Read more
Are HealthTap Doctors allowed to fill out a DBQ (Disability Benefits Questionnaire) issued by the Dept. of Veteran Affairs, for PTSD?
Some are: The DBQ application forms are a summary of the medical status of a veteran in relationship to claimed service connected disability. A team of contract physicians has been trained to perform these examinations and submit the DBQ forms. Some Health Tap doctors have had this training and can do this although the examinations are scheduled through organizations such as VES and QTC.l ...Read moreSee 4 more doctor answers
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